Difficulty: Medium
Average Score: 64%
Full-length
The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?
Correct answer
D
Rationale
A nosebleed post-radiation therapy is the least stable situation, as it may indicate a serious complication like tissue damage or coagulopathy, requiring immediate assessment. The daughterÔÇÖs threat (A) is administrative, the overdue assistant (B) is a personnel issue, and the physicianÔÇÖs request (C) can be delegated, all of which are lower priority.